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    Wyświetlanie 1-4 z 4
    Tytuł:
    Twin-to-twin transfusion syndrome (TTTS) pathogenesis, diagnostics, classification and treatment options
    Autorzy:
    Barbachowska, Aleksandra
    Krzanik, Klaudia
    Baliś, Mikołaj
    Janosz, Iwona
    Bodzek, Piotr
    Olejek, Anita
    Powiązania:
    https://bibliotekanauki.pl/articles/1178204.pdf
    Data publikacji:
    2018
    Wydawca:
    Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
    Tematy:
    Perinatology
    multiple pregnancy
    prenatal diagnosis
    twin-to-twin transfusion syndrome
    Opis:
    Twin to twin transfusion syndrome (TTTS) belongs to the group of multiple monochorionic pregnancies complications. The pathogenesis of this syndrome is not entirely clear, however there is a correlation between the location of the placentas trailers of umbilical cord, and the tendency to its occurrence. Moreover it is characterized by the existence of vascular connections in common placenta. It results in hemodynamic disorders, which consist in full leakage from one fetus called a "donor" to another fetus called the "recipient". Hypotony, hypotrophy, hypovolemia, anemia and oliguria are being developed in donor’s as the result. Whereas the second fetus is under the risk of hypertrophy, hypertension, hypervolaemia, polycythemia and polyhydramnios. TTTS is a complication occurring in 10-15% of all monochorionic pregnancies. If no treatment is performed the fetal mortality occurs in 60-100% of cases. Diagnosis of twin-to-twin transfusion syndrome is based on ultrasound assessment of amniotic fluid volume. The conditions of diagnose are: the occurrence of common chorioid for both twins in the first trimester and measurement of the maximum fluid pocket. The main and preferred therapeutic method is fetoscopic laser coagulation of vascular connections. Treatment depends on the age of the fetus. The most important factor affecting prognosis is early diagnosis of TTTS and consultation at the reference center of fetal therapy.
    Źródło:
    World Scientific News; 2018, 93; 1-9
    2392-2192
    Pojawia się w:
    World Scientific News
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Negative pressure wound therapy - case report
    Autorzy:
    Baliś, Mikołaj
    Barbachowska, Aleksandra
    Krzanik, Klaudia
    Witek, Łukasz
    Bodzek, Piotr
    Olejek, Anita
    Powiązania:
    https://bibliotekanauki.pl/articles/1177821.pdf
    Data publikacji:
    2018
    Wydawca:
    Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
    Tematy:
    Complex wound failure
    mesh-mediated fascial traction
    ovarian cancer
    vacuum dressing
    Opis:
    The postoperative wound dehiscence is a rare complication of surgical procedures. It is more common among geriatric patients and those undergoing chemotherapy. A more frequent complication is a postoperative bowel obstruction, which also occurred in the presented case. One of the advanced therapeutic techniques in wound infections and complex wound failure (CWF) is the use of negative pressure on the wound surface to improve healing. It is sometimes combined with implantation of monofilament mesh to reconstruct the abdominal wall. A 76-year-old woman diagnosed with ovarian cancer (IV FIGO stage), after chemotherapy, was referred to the Department of Obstetrics, Gynecology and Oncological Gynecology in Bytom for surgical treatment. Postoperative course was complicated by intestinal obstruction and abnormal wound healing with extensive necrosis and fascial dehiscence. Patient required multiple relaparotomies with wound revisions, during which vacuum dressing and monofilament, polypropylene mesh filling the gap in the fascia were implanted. At intervals of 3-4 days, the wound was examined and the dressing was replaced. The mesh was gradually cut, what allowed to bring the fascia edges closer together. During the tenth intervention, the dressing was removed and the skin was sewn. The case illustrates that the combination of using non-absorbable synthetic materials and vacuum assisted closure therapy is highly effective in the treatment of complex wound failures with extensive dehiscence of abdominal wall. The gradual cutting technique of the implantation mesh allows the fascia edges to completely close the wound.
    Źródło:
    World Scientific News; 2018, 99; 215-221
    2392-2192
    Pojawia się w:
    World Scientific News
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Intrauterine fetal surgery
    Autorzy:
    Barbachowska, Aleksandra
    Baliś, Mikołaj
    Krzanik, Klaudia
    Zamłyński, Mateusz
    Bodzek, Piotr
    Olejek, Anita
    Powiązania:
    https://bibliotekanauki.pl/articles/1179515.pdf
    Data publikacji:
    2017
    Wydawca:
    Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
    Tematy:
    congenital disorders
    fetoscopy
    perinatology
    prenatal diagnosis
    Opis:
    The progress made in the past few years in prenatal medicine has led to the development of new diagnostic and surgical techniques that are used to treat congenital disorders during pregnancy. This stride also raises ethical questions, including the borderline between innovative treatment and experimental surgery. Surgical interventions on the fetus may be performed by amniotic shunting, open fetal surgery or fetoscopy. The choice of the method depends on the type of malformation. Intrauterine surgery is possible in selected cases e.g. congenital cystic adenomatoid malformation, diaphragmatic hernia, hydrocephalus, myelomeningocele, feto-fetal transfusion syndrome and others. The indications for fetal intervention are: the risk of fetal death, significant developmental disorders or the chance for reducing the disability. Both, amniotic shunting and fetoscopy, are performed by gynecologists, whereas open fetal surgeries require cooperation between gynecologists, pediatric surgeons and other medical specialists. Parents are informed about congenital defects, prognosis and treatment possibilities. Afterwards they discuss the treatment plan with doctors. Prenatal procedures are still relatively rare and require long-term observation, refinement in surgical techniques and guidelines for postoperative care. Current research focuses on gene therapy and use of stem cells in developmental defects treatment.
    Źródło:
    World Scientific News; 2017, 76; 5-15
    2392-2192
    Pojawia się w:
    World Scientific News
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Complications of twin pregnancies
    Autorzy:
    Krzanik, Klaudia
    Baliś, Mikołaj
    Barbachowska, Aleksandra
    Janosz, Iwona
    Bodzek, Piotr
    Olejek, Anita
    Powiązania:
    https://bibliotekanauki.pl/articles/1178230.pdf
    Data publikacji:
    2018
    Wydawca:
    Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
    Tematy:
    Twins
    monoamniotic pregnancy
    monochromic pregnancy
    multiple pregnancies
    perinatology
    premature labor
    twin-to-twin transfusion syndrome
    umbilical cord collision
    Opis:
    Twin pregnancy in the population of Europe is relatively common. One in eighty deliveries results in at least two newborns’ coming to the world. Parents expecting twins are usually excited about the vision of large family, however for an obstetrician a multiple pregnancy is a challenge that involves more complications than singleton pregnancy. The risk of complications exceeds 50%, therefore twin pregnancies are considered as high risk. The most common complication is premature birth, which may result in respiratory failure of the newborn, necrotizing enterocolitis or intracranial hemorrhage. Other complications, that are characteristic for twin pregnancies only, are intrauterine growth restriction, intrauterine fetal death one of the fetuses, hemodynamic disorders due to the connecting blood vessels within the placenta in a monochorionic pregnancy or umbilical cord collision in a monoamniotic pregnancy. Perinatal care in a multiple pregnancy should include a determination of chorionicity and amionicity, prevention of premature labor and rapid diagnosis and treatment of complications. Over 75% of twin pregnancies are delivered via caesarian section which is also burdened with sequelae. Likewise, women pregnant with more than one fetuses suffer from anemia, hypertension, hyperemesis gravidarum and intrahepatic cholestasis of pregnancy more often than those in singleton pregnancies. Despite frequent complications, thanks to intensive perinatal care (numerous gynecological and ultrasound examinations, in some cases the necessity of hospitalization), perinatal mortality decreases and more twins develop properly each year.
    Źródło:
    World Scientific News; 2018, 93; 82-91
    2392-2192
    Pojawia się w:
    World Scientific News
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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